Evaluation of ‘Stop Smoking in its Tracks’: an intensive smoking cessation program for pregnant Aboriginal women incorporating contingency-based financial rewards

Passey, Megan; Stirling, Janelle

doi:10.17061/phrp28011804

Cited by 14 publications

(16 citation statements)

References 9 publications

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“….The finding that smoking is more frequently addressed at the initial visit than at subsequent visits is consistent with multiple other studies with both midwives and obstetricians [12,22,24,27,28]. Offering personalised support for cessation repeatedly throughout pregnancy is valuable as it provides a consistent message for women that midwives are concerned about them and their smoking [29,30].…”

Section: Discussionsupporting

confidence: 82%

Factors associated with provision of smoking cessation support to pregnant women – a cross-sectional survey of midwives in New South Wales, Australia

Passey

Longman

Adams

et al. 2020

BMC Pregnancy Childbirth

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Background:Smoking is the most important preventable cause of adverse pregnancy outcomes, but provision of smoking cessation support (SCS) to pregnant women is poor. We examined the association between midwives' implementation of SCS (5As -Ask, Advise, Assess, Assist, Arrange follow-up) and reported barriers/enablers to implementation. Methods: On-line anonymous survey of midwives providing antenatal care in New South Wales (NSW), Australia, assessing provision of the 5As and barriers/enablers to their implementation, using the Theoretical Domains Framework (TDF). Factor analyses identified constructs underlying the 5As; and barriers/enablers. Multivariate general linear models examined relationships between the barrier/enabler factors and the 5As factors. Results: Of 750 midwives invited, 150 (20%) participated. Respondents more commonly reported Asking and Assessing than Advising, Assisting, or Arranging follow-up (e.g. 77% always Ask smoking status; 17% always Arrange follow-up). Three 5As factors were identified-'Helping', 'Assessing quitting' and 'Assessing dependence'. Responses to barrier/enabler items showed greater knowledge, skills, intentions, and confidence with Assessment than Assisting; endorsement for SCS as a priority and part of midwives' professional role; and gaps in training and organisational support for SCS. Nine barrier/enabler factors were identified. Of these, the factors of 'Capability' (knowledge, skills, confidence); 'Work Environment' (service has resources, capacity, champions and values SCS) and 'Personal priority' (part of role and a priority) predicted 'Helping'. Conclusion: The TDF enabled systematic identification of barriers to providing SCS, and the multivariate models identified key contributors to poor implementation. Combined with qualitative data, these results have been mapped to intervention components to develop a comprehensive intervention to improve SCS.

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Section: Discussionsupporting

confidence: 82%

Factors associated with provision of smoking cessation support to pregnant women – a cross-sectional survey of midwives in New South Wales, Australia

Passey

Longman

Adams

et al. 2020

BMC Pregnancy Childbirth

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“…Passey & Stirling (2018) [39] Assess the acceptability of Stop smoking in its tracks to women and providers and the feasibility of implementation Rural.…”

Section: Regional Focus Groups With Pregnantmentioning

confidence: 99%

“…The related domains of 'Connection to Family and Kinship' and 'Connection to Community' were considered in almost all studies. This was through peer support mechanisms [33,39] as well as the positive and negative impacts of family and community [28,29,34,[36][37][38][39][40]. 'Connection to Country and Culture' were identified twice [35,38], and 'Connection to Spirit, Spirituality and Ancestors' was not addressed by any studies.…”

Section: Regional Focus Groups With Pregnantmentioning

confidence: 99%

“…Women sought holistic care that incorporated nicotine replacement therapy [28,33,34,39], engaged with their family and community [27][28][29][33][34][35][36]39,40], and addressed the relationship between stress and smoking cessation [27][28][29]39]. Women valued support mechanisms that were flexible, frequent, and also incorporated options for non-pharmacologic approaches [28,[33][34][35]39]. Theme 2.…”

Section: Regional Focus Groups With Pregnantmentioning

confidence: 99%

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Smoking Cessation Messages for Pregnant Aboriginal and Torres Strait Islander Women: A Rapid Review of Peer-Reviewed Literature and Assessment of Research Translation of Media Content

Flemington

Hera-Fuentes

Bovill

et al. 2021

IJERPH

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This review summarized literature about knowledge, attitudes, and beliefs of Aboriginal and Torres Strait Islander women from Australia who smoke during pregnancy, then examined the extent that existing health promotion materials and media messages aligned with evidence on smoking cessation for pregnant Aboriginal and Torres Strait Islander women. Knowledge, attitudes, and beliefs of pregnant Aboriginal women who smoke tobacco were identified in the literature. Health promotion campaigns were retrieved from a grey literature search with keywords and social and professional networks. Key themes from peer-reviewed papers were compared against the content of health promotion campaigns using the Aboriginal Social and Emotional Wellbeing Model, the Behavior Change Wheel and thematic analysis. Eleven empirical studies and 17 campaigns were included. Empirical studies highlighted women sought holistic care that incorporated nicotine replacement therapy, engaged with their family and community and the potential for education about smoking cessation to empower a woman. Health promotion campaigns had a strong focus on ‘engagement with family and community’, ‘knowledge of risks of smoking,’ ‘giving up vs cutting down’ and ‘culture in language and arts’. There were similarities and variances in the key themes in the research evidence and promotion materials. Topics highly aligned included risks from smoking and quitting related issues.

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“…To date, there have been two published studies focusing on smoking cessation in Australian Aboriginal pregnant women,24 25 neither focused on the HPs provision of care, or on the use of NRT during pregnancy. Both implemented face-to-face smoking cessation training of HPs as part of the intervention.…”

Section: Introductionmentioning

confidence: 99%

Improving smoking cessation care in pregnancy at Aboriginal Medical Services: ‘ICAN QUIT in Pregnancy’ step-wedge cluster randomised study

Bar‐Zeev¹,

Bovill²,

Bonevski³

et al. 2019

BMJ Open

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ObjectivesThis study aimed to examine the impact of the ‘ICAN QUIT in Pregnancy’ intervention on individual health providers (HPs) smoking cessation care (SCC) knowledge, attitudes and practices in general, and specifically regarding nicotine replacement therapy (NRT) prescription.DesignStep-wedge clustered randomised controlled study. HPs answered a preintervention and 1–6 months postintervention survey.SettingSix Aboriginal Medical Services (AMSs) in three states of Australia.ParticipantsAll HPs were invited to participate. Of 93 eligible, 50 consented (54%), 45 completed the presurvey (90%) and 20 the post (40%).InterventionIncluded three 1-hour webinar sessions, educational resource package and free oral NRT.OutcomesHPs knowledge was measured using two composite scores—one from all 24 true/false statements, and one from 12 NRT-specific statements. Self-assessment of 22 attitudes to providing SCC were measured using a five-point Likert scale (Strongly disagree to Strongly agree). Two composite mean scores were calculated—one for 15 general SCC attitudes, and one for 7 NRT-specific attitudes. Self-reported provision of SCC components was measured on a five-point Likert scale (Never to Always). Feasibility outcomes, and data collected on the service and patient level are reported elsewhere.ResultsMean knowledge composite scores improved from pre to post (78% vs 84% correct, difference 5.95, 95% CI 1.57 to 10.32). Mean NRT-specific knowledge composite score also improved (68% vs 79% correct, difference 9.9, 95% CI 3.66 to 16.14). Mean attitude composite score improved (3.65 (SD 0.4) to 3.87 (SD 0.4), difference 0.23, 95% CI 0.05 to 0.41). Mean NRT-specific attitudes composite score also improved (3.37 (SD 0.6) to 3.64 (SD 0.7), difference 0.36, 95% CI 0.13 to 0.6). Self-reported practices were unchanged, including prescribing NRT.ConclusionsA multicomponent culturally sensitive intervention in AMSs was feasible, and might improve HPs provision of SCC to pregnant Aboriginal women. Changes in NRT prescription rates may require additional intensive measures.Trial registration numberACTRN 12616001603404; Results.

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Evaluation of ‘Stop Smoking in its Tracks’: an intensive smoking cessation program for pregnant Aboriginal women incorporating contingency-based financial rewards

Cited by 14 publications

References 9 publications

Factors associated with provision of smoking cessation support to pregnant women – a cross-sectional survey of midwives in New South Wales, Australia

Factors associated with provision of smoking cessation support to pregnant women – a cross-sectional survey of midwives in New South Wales, Australia

Smoking Cessation Messages for Pregnant Aboriginal and Torres Strait Islander Women: A Rapid Review of Peer-Reviewed Literature and Assessment of Research Translation of Media Content

Improving smoking cessation care in pregnancy at Aboriginal Medical Services: ‘ICAN QUIT in Pregnancy’ step-wedge cluster randomised study

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